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ROSEVILLE OPEN 2009 COMPETITION MAY 14, 15, 16 & 17, 2009 WELCOME TO THE ROSEVILLE FIGURE SKATING CLUB’S ANNUAL OPEN COMPETITION OVERVIEW
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ROSEVILLE OPEN 2009 COMPETITION MAY 14, 15, 16 & 17, 2009 WELCOME TO THE ROSEVILLE FIGURE SKATING CLUB’S ANNUAL OPEN COMPETITION OVERVIEW The Roseville Figure Skating Club of Roseville, Minnesota sponsors the Roseville Open 2009 Figure Skating Competition. This event is sanctioned by U.S. Figure Skating. The Chief Referee is Lisa Venne, Chief Accountant is Krystal Himmler and Music Technician is Chip Rauth. This non-qualifying competition will be conducted under the rules of U.S. Figure Skating set forth in the 2009 U.S. Figure Skating Rule Book for the 2009 - 2010 Competitive Season. The International Judging System may be used for selected events. FACILITIES All events will be held at the Roseville Skating Center located at 2661 Civic Center Drive, Roseville, Minnesota. Rink size is 200’ x 85’. Dressing rooms are available. Merchandise booths and a concession stand will be available throughout the competition. Admission is free. ELIGIBILITY The competition is open to eligible skaters who are members in good standing of U.S. Figure Skating. Skaters may compete in as many events, as qualified by their test level, as of March 23, 2009, or at one level higher. Skaters must compete at the same level for all events, except for Juvenile/Open Juvenile skaters wishing to skate a short program. These skaters may skate a Juvenile/Open Juvenile Freeskate and an Intermediate Short Program. Beginner through Pre-Juvenile skaters will be grouped according to age. Juvenile and above skaters will be grouped by random draw. The number of skaters competing in each of these flights will be based on the total number of entrants. ENTRY FEE The entry fee is $95.00 for the first single event and $20.00 for each additional single event. The entry fee for all Championship Events is $115. Please make checks payable to Roseville Figure Skating Club and include with the accurately completed entry form with all required signatures. Entries must be postmarked by March 23, 2009 and mailed with a self addressed stamped envelope to: Roseville Competition 2009 c/o Molly Ibister 1158 Transit Avenue West Roseville, MN 55113 Late entries will be accepted only at the discretion of the Competition Chief Referee, and must be accompanied by a $25.00 late fee. The skater’s coach should review the entry form for accuracy, correct level, and desired events. His/her signature finalizes the competitor’s level and events. A home club official’s signature is also required on the entry form to certify the skater’s standing within the club. NOTE: A service charge of $25.00 along with subsequent entry fees, paid by money order, will be required for any returned check. NOTE: A fee of $25.00 will be charged for any changes to entry forms, competition level, age, events entered, etc. made after March 23, 2009.
REFUNDS There will be no refunds after the closing date, unless the Competition Referee cancels an event due to lack of participants as defined in 3235 of the 2009 U.S. Figure Skating Rule Book. CANCELLATIONS Any scheduled event may be canceled or combined if there are fewer than three (3) entrants or if the Referee determines that insufficient ice time is available to complete all events in an orderly manner. Skaters will be notified regarding cancellations and event combinations. REGISTRATION The registration desk will be located on the upper level in the Rose Room. It will be open during scheduled practices and events. All schedules will be posted at the arena. It is the responsibility of each competitor to check the board for official schedules, event changes, and notices. Skaters must be at the rink one hour before the start time for each event entered as events may run ahead of time. PRACTICE ICE Official practice ice is not being offered, but practice ice will be available for purchase. A practice ice schedule will be mailed with your competition times. Skater’s music will not be played during practice sessions. A maximum of 25 skaters will be scheduled on practice ice. Unsold practice ice may be purchased at the Registration Desk on a first-come basis. MUSIC Only cassette tapes (no cases please) or CDs (standard Compact Disc format only) will be accepted. Cassettes and CDs must be clearly marked with name, event entered, and length of music. Cassettes must be rewound and ready for play. Each CD must have only ONE track on it.Any CD with more than one track will not be accepted! In the case of short and long programs, two separate CDs must be used. If a skater is competing in both single and championship events, the skater is required to furnish separate tapes or CDs for each event. Each CD must be in a standard hard sided “jewel case” also labeled with the skater’s name and event. Due to compatibility and reliability reasons, no music on re-recordable “CDRW” discs will be accepted. Competition music must be turned in at the Registration Desk at the time of registration and will be available for pick up at the Registration Desk at the conclusion of the event. Cassettes or CDs not retrieved prior to the completion of the competition will not be mailed back to the competitors. All competitors must have an additional copy (cassette or CD) readily available during the actual competition event. Roseville FSC will not accept responsibility for damage or loss of cassettes or CDs but will take every precaution to ensure their safety. AWARDS, PHOTOGRAPHS AND VIDEOTAPING Awards will be presented to all competitors from Beginner through Preliminary with 1st through 4th place receiving trophies and other competitors receiving medals. Only skaters placing 1st through 4th in Pre-Juvenile through Adult events will receive awards. The awards will be presented to competitors in the Rose Room immediately following the result posting. An official photographer, located in the Rose Room, will take group pictures of award winners as well as individual skaters. Professional videotaping and action shots will also be available. TESTING A test session will be held at the Roseville Skating Center on Thursday, May 14, 2009. An application is enclosed and must be postmarked prior to April 14, 2009. If the number of testing skaters exceeds the amount of ice time, priority will be given to high-test skaters.
EVENTS COMPULSORY No music will be used in Compulsory events. Combination jumps may NOT have a change of foot between jumps. Compulsory elements may be performed in any order. Deductions will be calculated for omitted elements and/or added elements. NOTE: Timing for the compulsory event will begin with any movement of the body. • Beginner • Half ice: no music 1 minute • Split Jump or Half Flip • Waltz Jump • Forward Lunge • Two Foot Upright Spin (min. 3 revolutions) • Pre-Preliminary • Half ice: No music 1 minute • Single Jump (no Axel, may not be repeated combination jump) • Single/Single Jump Combination (no Axel) • Forward Right and Left Spirals (min. one on each foot) • Backward Upright Spin (min. 3 revolutions) • Preliminary • Half ice: no music 1 minute • Single Jump (Axel permitted) • Single/Single Combination Jump (Axel not permitted) • Sit Spin (min. 3 revolutions) • Forward Spiral • Forward Power Three-Turns (left or right) • Pre-Juvenile/Open Pre-Juvenile • Half ice: no music 1 minute, 15 seconds • Single Jump (Axel permitted) • Single/Single Combination Jump (Axel permitted) • Camel Spin or Sit Spin (min. 4 revolutions in position) • Forward Spiral • Power Pulls (forward or backward, one foot only) • Juvenile/Open Juvenile • Full ice: no music 1 minute, 30 seconds • Axel • Single/Single, Double/Single, or Single/Double Combination Jump • Combination Spin with one change of foot (min. 3 revolutions on each foot) • Forward Spiral, Ina Bauer or Spread Eagle • Back Power Three-Turns (one circle only) CRITIQUES Critiques will be offered only for Juvenile through Senior, Adult Gold and Adult Masters (IJS Events). Each skater will receive one critique for their Short Program and one critique for their Well-Balanced Free Skate. A schedule of events to be critiqued will be available at registration and posted near results. Critiques are dependent on the number of entrants and the availability of a judge or technical panel official. Critiques will only be open to skaters and their coaches.
SHORT PROGRAM Short program elements will follow the 2009 -2010 competition requirements. Programs may be shorter than the time allowed, but may not exceed the limit. Double jumps may not be substituted for single jumps. The Axel is considered a single jump. Combination jumps may NOT have a change of foot between jumps. Juvenile/Intermediate Short Program 2 minutes Ladies and Men - See Rule 3671. Novice Short Program 2 minutes, 30 seconds Ladies – See Rule 3662 Men – See Rule 3661. Junior Short Program 2 minutes, 50 seconds Ladies – See Rule 3652 Men – See Rule 3651. Senior Short Program 2 minutes, 50 seconds Ladies – See Rule 3642 Men – See Rule 3641. COMPETITIVE TEST TRACK FREE SKATE Skaters may enter EITHER the Test Track Free Skate or the Well Balanced Free Skate but NOT BOTH during this competition. Competitors will skate to music of their own choice. The 6.0 judging system will be used. Skaters will be deducted for including technical elements not permitted in the event description. Skaters may skate at their highest Freestyle test passed or one level higher. Beginner– No Age Limit 1 minute, 30 seconds Open to skaters who have not passed any USFS Free Skate Tests or CFSA Tests. Half jumps, Salchows, and Toe Loops only. Maximum of five jump elements. Maximum two upright spins (change of foot optional). Pre-Preliminary Test – No Age Limit 1 minute, 30 seconds Open to skaters who have passed the Pre-Preliminary Free Skate Test. Maximum of five jump elements. Maximum of two spins of a different nature (any position), no change foot or flying spins. Combinations or sequences only allowed using a Waltz Jump, Salchow, or Toe Loop. No Axels or double jumps. Preliminary Test – No Age Limit 1 minute, 30 seconds Open to skaters who have passed the Preliminary Free Skate Test. Maximum of five jump elements. Single jumps only (no Axels). Maximum of two spins of a different nature (combination spins allowed, but no flying spins). Pre-Juvenile Test – Under age 13 as of March 23, 2009 Open Pre-Juvenile Test – 13 years or older as of Mar. 23, 2009 Open to skaters who have passed the Pre-Juvenile Free Skate Test. Maximum of 6 jump elements. Single jumps only (no Axels). Maximum of three spins in any position with one being a combination spin with a change of foot optional (no flying spins). One full ice step sequence is required. Juvenile Test– Under age 13 as of March 23, 2009 Open Juvenile Test – 13 years or older as of Mar. 23, 2009 2 minutes, 15 seconds Open to skaters who have passed the Juvenile Free Skate Test. Any single jumps and jump combinations with not more than 1 ½ rotations ( Axels allowed). Maximum six jump elements. Three spins with one being a combination spin with one change of foot (min. of 4 revolutions each foot). One full ice step sequence required. (Competitive Test Track continued on next page)
(Competitive Test Track continued) Intermediate Test 2 minutes, 30 seconds Any single jumps, Double Salchow and Double Toe Loop are allowed. Maximum six jump elements. Three spins with one being a combination spin with at least one change of foot (min. 4 revolutions each foot). Flying spins are allowed. One full ice step sequence is required. Novice Test Ladies: 3 minutes Men: 3 minutes, 30 seconds Any single jumps and Double Salchow, Double Toe Loop and Double Loop allowed. Maximum seven jump elements. Three spins in any position with one being a combination spin with at least one change of foot (min. 5 revolutions each foot). One step or spiral sequence is required. See rule 3660. Junior Test Ladies: 3 minutes, 30 seconds Men: 4 minutes Any single jumps, Double Salchow, Double Toe Loop, Double Loop and Double Flip allowed. Maximum seven jump elements for ladies and eight jump elements for men. Three spins with one being a flying spin (min. 6 revolutions), one being a solo spin (min. 6 revolutions) and one being a combination spin with all three positions and one change of foot (min. 2 revolutions in each position and 5 revolutions on each foot). Men must perform two different step sequences. Ladies must perform one step sequence and one spiral sequence. See rule 3650. Senior Test Ladies: 4 minutes Men: 4 minutes, 30 seconds At least four different double jumps with one being a Double Lutz. Maximum seven jump elements for ladies and eight jump elements for men. Four spins with one being a flying spin (min. 6 revolutions), one solo spin (min. 6 revolutions), one combination spin consisting of all three positions and one change of foot (min. 2 revolutions in each position and min. 5 revolutions on each foot). Men must perform two different step sequences. Ladies must perform one step sequence and one spiral sequence. See rule 3640. WELL BALANCED FREE SKATE All Free Skate events will be skated on full ice to the music selection of the skater’s choice. All Free Skate programs, except adults, will have a 10 second leeway on timing. Well Balanced program requirements not listed below are defined in the 2009 U.S. Figure Skating Rule Book. IJS Planned Program Content forms must be completed ONLINE for all Juvenile/Open-Juvenile and above and Adult Gold and Adult Masters competitors. Pre-Preliminary Free Skate – No Age Limit 1 minute, 30 seconds Open to skaters who have passed the USFS Pre-Preliminary Free Skate Test. Maximum of five jump elements. Axels are allowed. No double jumps. Maximum of 2 spins of a different nature (spins may change feet, position and start with a fly). See Rule 3711. Preliminary Free Skate - No Age Limit 1 minute, 30 seconds Open to skaters who have passed the USFS Preliminary Free Skate Test. Must include Axel or Waltz Jump type jump. Maximum of five jump elements. Maximum of 2 spins of a different nature. See rule 3701. Pre-Juvenile Free Skate – Under age 13 as of Mar. 23, 2009 2 minutes Open to skaters who have passed the USFS Pre-Juvenile Free Skate Test. Must include Axel type jump. Maximum of six jump elements. Maximum three spins of a different nature. See Rule 3691. (Well Balanced Free Skate continued on next page)
(Well Balanced Free Skate continued) Open Pre-Juvenile Free Skate– 13 years or older as of Mar. 23, 2009 2 minutes Open to skaters who have passed the USFS Pre-Juvenile Free Skate Test. Must include Axel type jump. Maximum of six jump elements. Maximum three spins of a different nature. See Rule 3691. Juvenile Free Skate – Under age 13 as of March 23, 2009 2 minutes, 15 seconds Open to skaters who have passed the USFS Juvenile Free Skate Test or Skate Canada Jr. Bronze Test. Maximum of six jump elements (must include an Axel). Maximum of three spins of a different nature. See Rule 3681. Open Juvenile Free Skate – 13 years or older as of Mar. 23, 2009 2 minutes, 15 seconds Open to skaters who have passed the USFS Juvenile Free Skate Test or Skate Canada Jr. Bronze Test. Maximum of six jump elements (must include an Axel). Maximum of three spins of a different nature. See Rule 3681. Intermediate Free Skate – Under 18 as of Mar. 23, 2009 2 minutes, 30 seconds Open to skaters who have passed the USFS Intermediate Free Skate Test or Canadian Sr. Bronze Test. See Rule 3672. Novice Free Skate – No Age Limit 3 minutes – Ladies 3 minutes, 30 seconds - Men Open to skaters who have passed the USFS Novice Free Skate Test, Skate Canada Sr. Bronze, Skate Canada Jr. Silver Free Skate Test or Skate Canada Novice Competitive Test.. See Rule 3663. Junior Free Skate – No Age Limit 3 minutes, 30 seconds - Ladies 4 minutes - Men Open to skaters who have passed the USFS Jr. Free Skate Test, Skate Canada Sr. Silver Test or Skate Canada Jr. Competitive Test. See Rule 3653. Senior Free Skate – No Age Limit 4 minutes – Ladies 4 minutes, 30 seconds - Men Open to skaters who have passed the USFS Sr. Free Skate Test, Skate Canada Gold test or Skate Canada Sr. Competitive Test. See Rule 3643. Adult Bronze Free Skate – 21 years or older as of Mar. 23, 2009 1 minute, 40 seconds maximum No higher than Preliminary or Adult Bronze Free Skate Test. Only single jumps are permitted - no Axels. Maximum of three different spins of a different nature. See rule 3801. Adult Silver Free Skate – 21 years or older as of Mar. 23, 2009 2 minutes, 10 seconds maximum Open to skaters who have passed Pre-Juvenile or Adult Silver Free Skate Test. Only single jumps including Axels are permitted. Maximum of three different spins of a different nature. See rule 3791. Adult Gold Free Skate – 21 years or older as of Mar. 23, 2009 2 minutes, 40 seconds maximum Open to skaters who have passed Juvenile or Adult Gold Free Skate Test. Maximum of six jump elements. Axels, Double Toe Loop and Double Salchow are permitted. Maximum of three spins of a different nature. See rule 3781. Adult Master Free Skate – 21 year or older as of Mar. 23, 2009 3 minutes, 40 seconds maximum Open to skaters who have passed the Intermediate or Adult Gold Free Skate Test. Maximum of seven jump elements. Single, double, and triple jumps are permitted. Maximum of four spins of a different nature. See rule 3751. Adult divisions may be combined at the discretion of the referee.
SPINS Spins shall be skated in a simple program with no extra or repeated elements. Connecting moves may be made up of short sequences of footwork and will not be judged. All levels will be skated on a half sheet of ice. 1 minute, 30 second maximum time for all levels. Ladies and Men may be grouped together. • Intermediate/Novice • Flying Camel Spin (min. 5 revolutions) • Camel Spin (min. 5 revolutions) • Combination Spin with at least 2 changes of position and only 1 change of foot (min. 5 revolutions in each position) • Junior/Senior • Any Flying Spin (min. 6 revolutions) • Layback Spin – Ladies, Camel Spin - Men (min. 5 revolutions) • Combination Spin with at least 2 changes of position and only 1 change of foot (min. 6 revolutions in each position) • Adult • One Foot Upright Spin (min. 3 revolutions) • Sit Spin (min. 3 revolutions) • Combination Spin with only one change of foot (min. 3 revolutions) • Pre-Preliminary • One Foot Upright Spin (min. 3 revolutions) • One Foot Upright Backspin (min. 3 revolutions) • Sit Spin (min. 3 revolutions) • Preliminary • Forward Scratch Spin to Backward Scratch Spin (min. 3 revolutions each foot) • Sit Spin (min. 3 revolutions) • Camel Spin (min. 3 revolutions) • Pre-Juvenile/Open Pre-Juvenile • Backward Scratch Spin • Sit Spin (min. 4 revolutions) • Camel Spin to Backward One Foot Spin (min. 3 revolutions on each foot) • Juvenile/Open Juvenile • Camel Spin (min. 4 revolutions) • Layback Spin (min. 5 revolutions) • Combination Spin with one change of foot and no change of position (min. 4 revolutions each spin) CHAMPIONSHIP Championship events will be held for Intermediate, Novice, Junior, and Senior levels. When entering Championship events, the skater must skate both a short and a long program. Trophies will be awarded on the basis of combined scores of the short and long program. Charge for the combined event will be $115.00. The referee reserves the right to divide any event into flights with a final skate-off at her discretion. THE SKATER IS REQUIRED TO FURNISH SEPARATE TAPES/CDs FOR EACH EVENT. SKATERS WILL NOT BE ALLOWED TO REGISTER UNTIL ALL TAPES/CDs ARE TURNED IN. NOTE: The Competition Referee reserves the right to cancel or combine any event or limit entries because of time constraints. Skaters will be notified if their event is canceled or combined.
JUMPS Jumps will be skated IN THE ORDER LISTED. Skaters should perform the first jump two times, then perform the second jump two times, etc. If a choice of jump is listed, both attempts must be the same. Extra choreography and footwork will not be permitted in this event. Automatic deductions will be given for added elements. • Beginner • Half ice • Waltz Jump • Half Flip Jump • Pre-Preliminary • Half ice • Toe Loop • Combination of any two single jumps (no Axels) • Preliminary • Half ice • Flip or Lutz Jump • Combination of any single jump with a Loop Jump (Axels allowed) • Novice • Full Ice • 1. Double Flip • 2. Double Loop • 3. Combination of any two double jumps • Junior • Full Ice • 1. Double Loop • 2. Double Flip • 3. Combination of any two double or triple jumps (double/double or triple/double) • Pre-Juvenile/Open Pre-Juvenile • Half ice • 1. Axel • 2. Any double jump • Juvenile/Open Juvenile • Half ice • Axel • 2. Combination of any double jump with a Loop Jump • Intermediate • Full ice • Axel • Double Toe Loop or Double Flip • Combination of any two jumps (double/single or double/double) • Senior • Full Ice • 1. Double Lutz • 2. Double Axel • 3. Combination of any two double or triple jumps (double/double or triple/double) • Adult • Half ice • 1. Flip or Lutz • 2. Combination of any single jump with a Loop Jump (Axels allowed) QUESTIONS: Call 651-792-7130 to leave a message for a return call or e-mail your question to Roseville2009@comcast.net Registration will close when events are full so be sure to SIGN UP EARLY! LODGING For prices listed below ask for Roseville Competition rate. Holiday Inn Express 2715 Long Lake Rd. Roseville, MN 55113 651-636-5800 1-800-451-7258 No pool Continental breakfast $65 plus tax Fairfield Inn 3045 Centre Pt. Drive Roseville, MN 55113 651-636-7869 Pool Continental breakfast $94 plus tax Radisson Hotel 2540 Cleveland Ave. N Roseville, MN 55113 651-636-4567 $85 plus tax
APPLICATION FOR ROSEVILLE 2009 OPEN COMPETITION MAY 14, 15, 16, and 17, 2009 ENTRY MUST BE POSTMARKED BY March 23, 2009 Skater’s Last Name_____________________________ First______________________ Initial_____ Address _______________________________ City___________________ State____ Zip________ Phone ( )___________________ Email Address ______________________________________ Birth date ___________ Male____ Female____ USFS # or Canadian Figure Skating # __________ Highest USFS Freestyle Test Passed __________________________________________________ Parent/Guardian Full Name __________________________________________________________ Home Club (please spell out) _______________________________________________________ Primary Coach ___________________________________________________________________ Coach’s Address ______________________________ City ________________ State ___ Zip _____ Coach’s Email Address ________________________________ Phone ( ) __________________ First event is $95.00 and each additional event is $20.00. Championship is $115.00 for first event and $20.00 for each additional event. Please check appropriate boxes and enter the total amount on the second page. Juvenile (under 13 years old _____ Compulsory _____ Intermediate Short Program _____ Well Balanced Free Skate OR _____ Test Track Free Skate _____ Spins _____Jumps Open Juvenile (13 years and over) _____ Compulsory _____ Intermediate Short Program _____ Well Balanced Free Skate OR _____ Test Track Free Skate _____ Spins _____Jumps Intermediate _____ Short Program _____ Well Balanced Free Skate OR _____ Test Track Free Skate _____ Championship _____ Spins _____Jumps Novice _____ Short Program _____ Well Balanced Free Skate OR _____Test Track Free Skate _____ Championship _____ Spins _____Jumps Junior _____ Short Program _____ Well Balanced Free Skate OR _____Test Track Free Skate _____ Championship _____ Spins _____Jumps Senior _____ Short Program _____ Well Balanced Free Skate OR _____Test Track Free Skate _____ Championship _____ Spins _____Jumps Adults _____ Bronze _____ Silver _____ Gold _____ Masters _____ Spins _____Jumps Beginner _____ Compulsory _____ Test Track Free Skate _____ Jumps Pre-Preliminary _____ Compulsory _____ Test Track Free Skate OR _____ Well Balanced Free Skate _____ Spins _____Jumps Preliminary _____ Compulsory _____ Test Track Free Skate OR _____ Well Balanced Free Skate _____ Spins _____Jumps Pre-Juvenile (under 13 yrs. old) _____ Compulsory _____ Test Track Free Skate OR _____ Well Balanced Free Skate _____ Spins _____Jumps Open Pre-Juvenile (13 years and over) _____ Compulsory _____ Test Track Free Skate OR _____ Well Balanced Free Skate _____ Spins _____Jumps Page 1 of 2 (both pages must be completed and mailed)
PRIMARY COACH VERIFICATION I verify that all information and entered events are accurate. Signature ______________________________ Date _________ Phone Number _______________ SKATER/PARENT/GUARDIAN VERIFICATION I hereby agree to assume all risks of injury resulting from, caused by, or connected with the conduct and management of the competition, and to waive and release any claims against Roseville 2009 Competition Officials, US FIGURE SKATING, Roseville Skating Center, and the City of Roseville. Signature of Competitor _____________________________________________ Date __________ Signature of Parent/Guardian ________________________________________ Date __________ HOME CLUB OFFICER CERTIFICATION Signature of Club Officer ______________________________ Position _______________________ (Pres., V.P., Sec., or Treas.) Club ___________________________________________________________ Date ___________ FEE SUMMARY Fee Amount First Event (non Championship) $ 95 _________ Championship Event $115 _________ Additional Events $ 20 each # Add. Events ____ _________ Late Fee (if postmarked after 3/23/09) $ 25 _________ Program $ 4 _________ Total Enclosed _________ **Make checks payable to RFSC, include a self-addressed stamped envelope (Please use the standard letter size envelope) and mail to: Roseville Competition 2009 c/o Molly Ibister 1158 Transit Avenue W., Roseville, MN 55113 **Incomplete applications will be returned. **Programs available at the competition on a limited basis for $5.00 **A $25 fee will be charged for all changes made to this form (level, age, events, etc) after March 23, 2009. Please fill out the form completely and correctly! **Any questions can be answered by leaving a message at 651-792-7130 or via e-mail to Roseville2009@comcast.net **NOTE: The competition committee and the Referee reserve the right to cancel or combine any event or to limit entries because of time constraints. Skaters will be notified if their event is canceled or combined. Late entries will be accepted only at the discretion of the Competition Chief Referee, and must be accompanied by a $25.00 late fee. Page 2 of 2 (both pages must be completed)